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大型医院网站护理信息呈现现状及模式研究
The Status and Module Design of Presence of Nursing Information on Grade-A Tertiary Hospital Web Sites
【作者】 陈玲玲;
【导师】 刘义兰;
【作者基本信息】 华中科技大学 , 护理学, 2010, 硕士
【摘要】 【目的】描述我国医院网站护理信息呈现现状;分析比较不同国家医院网站护理信息的呈现现状;探讨我国大型医院网站护理信息呈现的模式,为完善我国大型医院网站护理信息的呈现提供参考。【方法】医院网站护理信息呈现现状的研究采用非随机判断抽样法,有目的地选择国内70家三级甲等医院网站;世界五国(美国、英国、澳大利亚、中国、南非)50家大型医院网站进行调查。用网络计量学方法,对样本医院网站中护理信息的内容结构、组织特征和用户行为等进行定量分析和描述。我国大型医院网站护理信息呈现模式研究采用Dephi专家咨询法,选择了护理管理、护理教育、临床护理、医院网络中心、医院教学管理等专家18名,以电子邮件或信件的方式,将调查表发给咨询专家,进行两轮意见征询。【结果】(1)在被调查的我国70家医院网站中,只有41家(58.6%)医院网站上有护理相关信息,且更新慢,浏览次数低。医院网站上呈现的护理信息内容不丰富,除了护理简介和护理动态信息外,其余呈现率都在25.0%以下;(2)被调查的澳大利亚,美国,英国的医院网站上都有护理信息的呈现;而我国有7所(70.0%),南非只有3所(30.0%)呈现了护理信息;英国(53分)、中国(31分)、南非(3分)医院网站中的护理信息“极少呈现”,美国(92分)和澳大利亚(83分)为“有所呈现”;我国医院网站上呈现的护理信息主要为护理教育、护理科研及护理新闻,而美国、澳大利亚等发达国家还包括了临床护理及护理人员招聘信息。(3)经过两轮专家咨询,构建我国大型医院网站护理信息呈现模式一级指标11项(护理主页、护理概况、护理管理、临床护理、护理教育、护理科研、护士风采、护理文化、护理动态信息、相关链接、留言板),二级指标52项。【结论】(1)我国三级甲等医院网站上护理信息呈现不足,且内容不丰富。我国护理管理者应该引起高度重视,促进医院网站上护理信息呈现的发展和逐步完善;(2)澳大利亚、美国、南非、英国、中国五个国家医院网站上护理信息的呈现并不丰富。护理管理者应抓住机遇,丰富医院网站护理信息的内容。我国护理领导者应借鉴国外经验,进一步促进医院网站上护理信息呈现的发展和逐步完善;(3)通过Dephi专家咨询法构建的我国大型医院网站护理信息呈现模式,各指标体系科学、可靠。该模式能够很好的展示一个医院护理学科形象,对我国大型医院网站护理信息的呈现具有较强的指导作用。
【Abstract】 【Objectives】To investigate the current status of nursing information services on the hospital web sites in China; To compare the current status of nursing information services on the hospital web sites across 5 countries; To design the module of presence of nursing information on hospital web sites and provide empirical reference for the development of nursing information services in our country.【Methods】To investigate the current status of nursing information, objective sampling was employed to select seventy grade-A tertiary hospitals in China and fifty hospitals from five countries, namely USA, UK, Australia, China, and South Africa. The method of webmetrics was used to quantitatively analyze and describe the contents, characteristics and user’s behaviors of nursing information on the selected hospital web sites. Dephi method was used to design the module of presence of nursing information on hospital web sites. The module was consulted by 18 experts through email or letter, who were expertise in nursing administration, nursing education, clinic nursing and hospital service information management.【Results】(1) Nursing-related information could be found on 41 (58.6%) hospital web sites. The data was not updated timely, and the click frequency was low. The contents were far of abundant and the presentation rates were under 25.0% except the contents of introduction to nursing and nursing news; (2) All the web sites investigated in USA, Australia and UK contained nursing-related information. Nursing information was found in seven (70%) web sites in China, and three web sites (30%) in South Africa. Nursing information on web sites in UK (53 scores), China (31 scores) and South Africa (3 scores) was rated“minimally present”. USA (92 scores) and Australia (83 scores) were in the category of“somewhat present”. The most frequently presented information was nursing education, nursing research and nursing news in China. Clinical nursing and nursing employment were also included in USA and Australia; (3) The module of presence of nursing information on hospital web sites designed with Dephi method was composed of 11 first-grade indexes (nursing homepage, general information of nursing in the hospital, nursing administration, clinic nursing, nursing education, nursing research, the art of nursing, nursing culture, nursing news, essential link, guestbook) and 52 second-grade indexes.【Conclusions】(1) In China, nursing-related information on grade-A tertiary hospital web sites were insufficient. Nursing administrators should pay close attention to the deficiency of nursing information on hospital web sites and take actions to promote the development of nursing information services; (2) The nursing-related information on the hospital web sites was insufficient across 5 countries. Nursing administrators should pay close attention to the deficiency of nursing information on hospital web sites. And nursing leaders in our country should draw on the experience of other countries to promote the development of nursing information services; (3) The module of presence of nursing information on hospital web sites designed with Dephi method was scientific and reliable, which could be best to show the nursing image. It could be used to guide the presence of nursing information on hospital web sites.